Resuscitation
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Filtering techniques to remove manual compression artefacts from the ECG have not been incorporated to defibrillators to diagnose the rhythm during cardiopulmonary resuscitation. Mechanical and manual compression artefacts may be very different. The aim of this study is to characterize the compression artefact caused by the LUCAS 2 device and to evaluate whether filtering the LUCAS 2 artefact results in an accurate rhythm analysis. ⋯ Filtering resulted in a large increase in SE and small increase in SP. Despite differences in artefact characteristics between manual and mechanical compressions, filtering the LUCAS 2 compression artefact results in SE/SP values comparable to those obtained for manual compression artefacts. The SP is still below the 95% recommended by the American Heart Association.
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Comparative Study
Comparison of complications secondary to cardiopulmonary resuscitation between out-of-hospital cardiac arrest and in-hospital cardiac arrest.
The aim of this study was to assess whether there was a significant difference in the complications of cardiopulmonary resuscitation (CPR) between out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) survivors using multidetector computed tomography (MDCT). ⋯ Rib fractures were more likely to occur in OHCA survivors, and serious complications tended to occur more often in OHCA compared to IHCA survivors.
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Editorial Comment
Vital signs: vital for surviving in-hospital cardiac arrest?
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Multicenter Study Observational Study
Changes in coagulation during therapeutic hypothermia in cardiac arrest patients.